AMANDA KOMISAROW

BIRMINGHAM, AL
NPI1376048710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-03-28
Last Update Date2018-03-28
Business Address
AMANDA KOMISAROW DMD
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
Mailing Address
AMANDA KOMISAROW DMD
6990 LAUREL OAK DR
SUWANEE, GA 30024-5338
Phone number: